ISMP
ISMP
Home Support ISMP Newsletters Webinars Report Errors Educational Store Consulting FAQ Tools About Us Contact Us
ISMP
ISMP
ISMP Facebook

The following are excerpts from the newslette

February 12, 1997

  • Enhance systems to assure safe IV magnesium use.
  • Where's Waldo? Better yet, where's KCl? Potassium pooling in flexible IV containers.
  • Safety Briefs
    • Urgent --- Look alike condition may exist in institutions using 5 mL Dosette® ampuls of protamine (10 mg/mL) and 5 mL Dosette® ampuls of pancuronium (2 mg/mL), both manufactured by Elkins-Sinn.
    • Look alike II....vials of tobramycin (Nebcin®) and vials of verapamil hydrochloride 5 mg/2 mL injection.
    • Look alike III ...single dose 1 mL vials of methylprednisolone acetate suspension (Depo-Medrol®) and multiple dose 5 mL vials. Multiple dose vials contain benzyl alcohol as a preservative.
    • ISMP director George Di Domizio described US medication error prevention efforts at Canadian Standards Association January 21, 1997 meeting.
    • The American Society for Parenteral and Enteral Nutrition (ASPEN) sent a letter last Thursday to members about the current IV multivitamin shortage.
    • Annals of Emergency Medicine publishes study showing over reliance on PDR for overdose management information.

February 26, 1997

  • Incident reporting: Don't shoot the messenger!
  • Protease inhibitors and renal effects.
  • Safety Briefs
    • ISMP asks FDA to stop allowing abbreviations in pharmaceutical advertisements
    • Use of household teaspoon measuring devices may be inaccurate for drug dosing.
    • Wyeth-Ayerst revises labeling for Pondimin®
    • Use of company name as part of Brand naming of entities may cause confusion.
    • Johnson & Johnson Medical, Inc. withdraws catheters containing Aquavene®, a copolymer linked to serious anaphylactoid reactions.
    • Concentrated infant formula may be harmful if not diluted before feeding to infants due to hyperosmolar nature of the solution.
    • Use care when using half tablets may equal the dose of drug available in multiple strengths.
    • 2 educational monographs contain dosing errors.
    • Actimmune® vial label may lead to incorrect dosing

subscribe now

Resources
Acute Care Main Page
Current Issue
Past Issues
Highlighted articles
Action Agendas - Free CEs
Special Error Alerts
Subscribe
Newsletter Editions
Acute Care
Community/Ambulatory
Nursing
Long Term Care
Consumer
ISMP 17th Annual Cheers Awards
Home | Contact UsEmployment  | Legal Notices | Privacy Policy | Help Support ISMP
Med-ERRS Med-ERRS | MSOMedication Safety Officers Society | Consumer Medication SafetyFor consumers
 ISMP Canada ISMP Canada | ISMP Spain ISMP Spain | ISMP Brasil ISMP Brasil | International Group | Pennsylvania Patient Safety Authority

200 Lakeside Drive, Suite 200, Horsham, PA 19044, Phone: (215) 947-7797,  Fax: (215) 914-1492
© 2014 Institute for Safe Medication Practices. All rights reserved

 
ISMP
ISMP